[Nutrition support of severe illness patients of general surgery during peroperation period].

OBJECTIVE

To study the clinical effect of the nutrition support of severe illness patients of general surgery during peroperation period.

METHODS

To analyse application of the nutrition support applied to 147 cases with severe illness of general surgery in peroperation period since 1995. In 147 cases, there were abdominal operations(n=138, 93.9%) and cervical operations(n=9, 6.1%) and emergency operations (n=63, 42.8%). Total parenteral nutrition (TPN) was used by venous canal ways including internal jugular vein (n=132, 89.8%), axillary vein (n=11, 7.5%), femoral vein (n=4, 2.7%), used unicameral catheter (n=127, 86.4%), double catheter (n=20, 13.6%), 41 cases were used enteral nutrition. Two different nutritional support treatments were employed, one was TPN-->parenteral nutrition(PN)+oral diet-->oral diet (n=106, 72.1%) and another was TPN-->PN+enteral nutrition(EN)-->EN-->EN+oral diet-->oral diet (n=41, 27.9%).

RESULTS

There were not complications of catheterization and metabolism in the nutrition support, 142 cases (96.6%) had been cured and 5 cases (3.4%) died of primary diseases after operation.

CONCLUSION

The nutrition support of patients with severe illness of general surgery in peroperation period is an important adjuvant treatment that can assure operative safety and promote recovery on postoperation.